Health Condition 1: K358- Other and unspecified acute appendicitis Health Condition 2: K358- Other and unspecified acute appendicitis
Conditions
Interventions
Intervention1: NON-OPERATIVE MANAGEMENT(NOM): Patients in NOM group will be given intravenous Ceftriaxone ( 50 mg/kg in two divided schedule) and metronidazole (20 mg/kg/day in three divided doses) al
Sponsors
MIDNAPORE MEDICAL COLLEGE AND HOSPITAL
SUBHENDU BIKAS SAHA
Eligibility
Inclusion criteria
Inclusion criteria: All patients aged between 10 to 60 years of age presented to surgical department with diagnosis of acute appendicitis.
Exclusion criteria
Exclusion criteria: 1.Diffuse peritonitis 2.Appendicular mass 3.Appendicular abscess 4.Antibiotic documented allergy 5.Ongoing previously commenced antibiotic therapy 6.Previous appendectomy 7. Positive pregnancy test 8. IBD history or suspicion of IBD re-occurrence 9. Modified Alvarado score below 7.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare the outcome of non-operative treatment (NOM) with antibiotics versus surgical management of uncomplicated AA in the specified age range. Evaluate the effectiveness and short as well as long term outcomes of NOM of uncomplicated AA. Timepoint: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| To identify clinical, laboratory and imaging findings or the factors that are predictive of failure of conservative management(NOM) in acute appendicitis and/or relapse of appendicitis and need for appendicectomy within one year. Timepoint: 1 year. | — |
Countries
India
Contacts
Public ContactSubhendu bikash Saha
MIDNAPORE MEDICAL COLLEGE
Outcome results
None listed